- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- Bristol Myers Squibb (New York, NY)
- …related experience (field liaison responsible for market access , worked for managed care organization, corporate or field HEOR, etc.) strongly preferred + ... Makers and Influencers, etc.) within payer organizations and to managed care professionals to ensure access to... accounts, covering all books of business (eg, Commercial, Managed Medicaid , Fee-for-Service, Medicare, PBMs, and Exchange… more
- RWJBarnabas Health (Somerset, NJ)
- …Ability to professionally inter-relate with people (ie, parents, staff, patients, Managed Care Organizations, outside agencies, etc.) familiarity with computer ... for per diem negotiation for individual patients with their respective insurance company| managed care organization + Notifies parents of availability of… more
- Healthfirst (New York, NY)
- The Entitlement Advocate provides Healthfirst's Medicare Advantage Plan(MAP), Managed Long-Term Care Plan(LTC), Dual eligible Medicare Plan and Nursing Home ... Medicaid . + Contact Senior Health Partners or Complete Care members two months prior to Medicaid ...insurance, home care environment, acute, sub-acute, long-term care setting, or managed -long term care… more
- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) - Restricted Recipient Program (RRP) Unit imposes ... within MAP to ensure appropriate delivery of services to clients enrolled in managed care . - Type correspondences, reports and other written materials. -… more
- Catholic Health Services (Melville, NY)
- …(ie, Access\MS-SQL); EPIC, and other reporting and database tools. Sound knowledge of Medicaid , Medicare and managed care requirements Must be Self-directed ... and quarterly reports reflecting accurate departmental data Works with Revenue Cycle and Managed Care teams to identify and resolve issues related to timely… more
- City of New York (New York, NY)
- …individuals in a variety of settings to promote independence and well-being. The Home Care Services Program (HCSP) is a Medicaid funded program that facilitates ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- Molina Healthcare (New York, NY)
- …: 1 year customer service, provider service, or claims experience in a managed care or medical office setting. **PREFERRED EDUCATION** : Associate's Degree ... Vocational program in Managed Care or some other health ...completion. **PREFERRED EXPERIENCE** : * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Abilities Preferred** : + Bachelor's degree. + Experience in healthcare. + Knowledge of Managed Care contracts, Medicare, and Medicaid . + Proficient in SMS, ... not limited to Patient Accounting, Case Management, Health Information, Clinical, Training, Managed Care , Outsource Partners, Practice Management and DTS .… more
- New York State Civil Service (Hawthorne, NY)
- …specialists, various clinical staff as necessary.* Advocate for individuals' health care needs.* Maintains ongoing communication with med liaison /designee.* ... Disabilities, Office for Title Registered Nurse 1 Night Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
- New York State Civil Service (Queens, NY)
- …specialists, various clinical staff as necessary.* Advocate for individuals' health care needs* Maintains ongoing communication with med liaison /designee* ... Office for Title Registered Nurse 1 (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
- New York State Civil Service (Bronx, NY)
- …specialists, various clinical staff as necessary.* Advocate for individuals' health care needs.* Maintains ongoing communication with med liaison /designee.* ... Office for Title Registered Nurse 1 (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
- New York State Civil Service (Brooklyn, NY)
- …specialists, various clinical staff as necessary.* Advocate for individuals' health care needs* Maintains ongoing communication with med liaison /designee* ... Office for Title Registered Nurse 1 (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
- Graham Windham (Brooklyn, NY)
- …vs. ECMS, ACS Reports, and other pertinent data information Create and reconcile Managed Care /Health Homes billing vs. ECMS MCO Reporting, and other pertinent ... for analysis, reconciliation and billing for all contracts, foster care , Medicaid , Manage Care , or...audit schedules, as determined by the agency Serve as liaison between ACS Reconciliation unit, Graham program staff, Computer… more
- Healthfirst (New York, NY)
- …and provider network satisfaction.The individual must possess experience working in a managed care setting with specific background in network development, ... of Ancillary Providers for all lines of Healthfirst's business (such as Medicaid , CHP, Medicare, and Commercial). + Monitor and audit contracted ancillary providers… more
- Acacia Network (New York, NY)
- …services covered. Coordinate with the Benefits department to ensure client financial status via Medicaid and other managed care funding source. May need to ... accordance with program regulations.Salary:$41,787.82 KEY ESSENTIAL FUNCTIONS: + Primary liaison with internal and external referral sources for residential… more
- Acacia Network (Brooklyn, NY)
- …services covered. Coordinate with the Benefits department to ensure client financial status via Medicaid and other managed care funding source. May need to ... as needed with admission documents. Pays:$21.97 KEY ESSENTIAL FUNCTIONS: + Primary liaison with internal and external referral sources for residential and outpatient… more
- Healthfirst (New York, NY)
- …impact on Healthfirst, its Members, and Providers Minimum Qualifications: + Medicare and/or Medicaid managed care experience + Excellent oral and written ... Efficiency, Administrative Efficiency and Population Health. + Serve as plan liaison for physicians/physician groups in a specified geographical area. Will be… more